| NPI | 1598016008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J BURNS Owner 314-494-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 15228) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |